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Gifts to support The Korey Stringer Institute may be made through the UConn Foundation, Inc. a tax-exempt 501(c)(3) corporation dedicated exclusively to benefit the
University, and are deductible for federal incomes tax purposes to the extent allowable by law. All gifts will be used to benefit The Korey Stringer Institute and its mission.
Sample Athletic Emergency Action Plan
The following sample emergency action plan is just an example. Relevant changes should be made based on each institution’s staffing availability, athlete age group, and site location. Depending on the setting, the institution may not have an athletic trainer present at all times. You should make relevant notes and plans throughout the EAP to ensure that proper protocol can be followed no matter who is available. Also, you should take state and federal laws and policies into consideration when developing your own emergency action plan, e.g. when planning for heat illnesses or concussions.
Table of Contents
2 Overview of Emergency Action Plans (EAPs) - Introduction - Components of an EAP - Emergency Personnel - Emergency Communication - Emergency Equipment - Medical Transportation - Non-medical Transportation 6 Emergency Contact List 7 Accident/Injury Contact Phone Tree 8 Sample Campus Map 9 Campus Map with AED Locations Marked 10 Venue Information Chart 11 Sample EAP for a given venue (an EAP should be done for each sport at each venue that they may practice or host competitions) 12 Staff Medical Certification Requirements 13 Verification of Training Using the Emergency Action Plan
Gifts to support The Korey Stringer Institute may be made through the UConn Foundation, Inc. a tax-exempt 501(c)(3) corporation dedicated exclusively to benefit the University, and are deductible for federal incomes tax purposes to the extent allowable by law. All gifts will be used to benefit The Korey Stringer Institute and its mission.
NAME OF SCHOOL
EMERGENCY ACTION PLAN FOR ATHLETICS OVERVIEW
Introduction Emergency situations may arise at any time during athletic events. Expedient action must be taken in order to provide the best possible care to the sport participant. The development and implementation of an emergency action plan will help ensure that the best care will be provided. As emergencies may occur at any time and during any activity, all school activities workers must be prepared. Athletic organizations have a duty to develop an emergency plan that may be implemented immediately when necessary and provide appropriate standards of emergency care to all sports participants. As athletic injuries may occur at any time and during any activity, the sports medicine team must be prepared. This preparation involves formulation of an emergency plan, proper coverage of events, maintenance of appropriate emergency equipment and supplies, utilization of appropriate emergency medical personnel, and continuing education in the area of emergency medicine and planning. Hopefully, through careful pre-participation physical screenings, adequate medical coverage, safe practice and training techniques and other safety avenues, some potential emergencies may be averted. However, accidents and injuries are inherent with sports participation, and proper preparation on the part of the sports medicine team should enable each emergency situation to be managed appropriately. Components of an Emergency Plan 1. Emergency Personnel 2. Emergency Communication 3. Emergency Equipment 4. Roles of First Responder 5. Venue Directions with a Map 6. Emergency Action Plan Checklist for Non-Medical Emergencies
Gifts to support The Korey Stringer Institute may be made through the UConn Foundation, Inc. a tax-exempt 501(c)(3) corporation dedicated exclusively to benefit the
University, and are deductible for federal incomes tax purposes to the extent allowable by law. All gifts will be used to benefit The Korey Stringer Institute and its mission.
Emergency Personnel The first responder in an emergency situation during an athletic practice or competition is typically a member of the sports medicine staff, such as a certified athletic trainer. However, the first responder may also be a coach or another member of the school personnel. Certification in cardiopulmonary resuscitation (CPR), first aid, automated external defibrillator (AED), prevention of disease transmission, and emergency plan review is required for all athletics personnel associated with practices, competitions, skills instructions, and strength and conditioning [also including: athletic director, school nurse, certified athletic trainer, all coaches, etc.]. Copies of training certificates and/or cards are maintained in the athletic training facility and/or with the athletic director. The emergency team may consist of physicians, emergency medical technicians, certified athletic trainers, athletic training student, coaches, managers, and possibly bystanders. Roles of these individuals will vary depending on different factors such as team size, athletic venue, preference of the head athletic trainer, etc. The four basic roles within the emergency team are: 1. Establish scene safety and immediate care of the athlete: This should be provided by the most qualified individual on the medical team. 2. Activation of Emergency Medical Services: This may be necessary in situations where emergency transportation is not already present at the sporting event. Time is the most critical factor and this may be done by anyone on the team. However, the person chosen should be someone who is calm under pressure, communicates well, and is familiar with the location and address of the sporting event. 3. Equipment Retrieval: May be done by anyone on the emergency team who is familiar with the types and locations of the specific equipment needed. Athletic training students, managers, and coaches may be good choices for this role. 4. Direction of EMS to the Scene: One of the members of the team should be in charge of meeting the emergency medical personnel as they arrive at the site. This person should have keys to locked gates or doors.
Formation of an emergency team and implementation of specific roles are important. You should also assign more than one person to a role in case certain members are not present during a given situation.
Gifts to support The Korey Stringer Institute may be made through the UConn Foundation, Inc. a tax-exempt 501(c)(3) corporation dedicated exclusively to benefit the University, and are deductible for federal incomes tax purposes to the extent allowable by law. All gifts will be used to benefit The Korey Stringer Institute and its mission.
Activating Emergency Medical Services • Call 9-‐1-‐1 • Provide Information -‐ name, address, telephone number of the caller -‐ nature of emergency (medical or non-‐medical*) -‐ number of athletes -‐ condition of athlete(s) -‐ first aid treatment initiated by the first responder -‐ specific directions as needed to locate the emergency scene (i.e. “use the south entrance to the stadium on Pomfret Street) -‐ other information requested by the dispatcher *If non-‐medical, refer to the specified checklist of the school’s non-‐athletics emergency action plan
Emergency Communication Communication is a key to a quick, efficient emergency response. There should be a pre-established phone tree to ensure all relevant parties are notified. Access to a working telephone line or other device, either fixed or mobile, should be assured. There should also be back-up communication in effect in case there is a failure of the primary communication. At every athletic venue, home and away, it is important to know the location of a workable telephone. Emergency Equipment All necessary emergency equipment should be at the site and quickly accessible. Personnel should be familiar with function and operation of each type of emergency equipment. The equipment should be checked on a regular basis to ensure good condition and equipment use should be rehearsed by all emergency personnel. Creating an equipment inspection log book is strongly recommended. Know how to properly care for and store all of the equipment. You should choose a clean, dry, environmentally controlled area and it should be readily available when emergency situations arise. This type of equipment could include: spine boards and straps, automated external defibrillators (AEDs), AED pads, AED batteries, splinting equipment, helmet removal equipment and their batteries, etc.
Coaches should take note of the closest AED to their practice and game locations.
Gifts to support The Korey Stringer Institute may be made through the UConn Foundation, Inc. a tax-exempt 501(c)(3) corporation dedicated exclusively to benefit the
University, and are deductible for federal incomes tax purposes to the extent allowable by law. All gifts will be used to benefit The Korey Stringer Institute and its mission.
Medical Emergency Transportation Emphasis is placed on having an ambulance on site at high risk sporting events, such as football, gymnastics, track and field meets, etc. In the event that an ambulance is on site, there should be a designated location with rapid access to the site and cleared route for entering/exiting the venue. In the event that an ambulance is not on site, the medical personnel should be aware of average EMS response time for the athletic venue and distance from the venue to local hospitals. Any emergency situation where there is impairment in loss of consciousness (LOC), airway, breathing, or circulation (ABCs) or there is a neurovascular compromise should be considered a “load and go” situation and emphasis placed on rapid evaluation, treatment, and proper transportation. Non-Medical Emergencies For the non-medical emergencies (fire, bomb threats, violent or criminal behavior, etc.) refer to the school emergency action plan checklist and follow instructions. Conclusion The importance of being properly prepared when athletic emergencies arise cannot be stressed enough. An athlete’s survival may hinge on the training and preparation of athletic healthcare providers. It is prudent to invest athletic department “ownership” in the emergency action plan by involving the athletic administration and sport coaches as well as sports medicine personnel. The emergency action plan should be reviewed at least once a year with all athletic personnel and local emergency response teams. Through development and implementation of the emergency plan NAME OF YOUR SCHOOL helps ensure that the athlete will have the best care provided when an emergency situation does arise. Approval and acceptance of the NAME OF YOUR SCHOOL Emergency Plan for Athletics. Approved by: ____________________________________ Date: _______________________ School Principal Approved by: ____________________________________ Date: _______________________ School Athletic Director Approved by: ____________________________________ Date: _______________________ Head Athletic Trainer
Gifts to support The Korey Stringer Institute may be made through the UConn Foundation, Inc. a tax-exempt 501(c)(3) corporation dedicated exclusively to benefit the University, and are deductible for federal incomes tax purposes to the extent allowable by law. All gifts will be used to benefit The Korey Stringer Institute and its mission.
NAME OF SCHOOL
IMPORTANT CONTACTS LIST
Off Campus Contacts Phone Number Police Department XXX-XXX-XXXX
Fire and Ambulance XXX-XXX-XXXX Medical Center XXX-XXX-XXXX
Poison Control Center XXX-XXX-XXXX
On Campus Offices Phone Number Athletic Training Room XXX-XXX-XXXX
Infirmary XXX-XXX-XXXX Athletic Director XXX-XXX-XXXX
Main Office XXX-XXX-XXXX Administrative Office XXX-XXX-XXXX
School Counselor Office XXX-XXX-XXXX
Title Name Office Cell Athletic Trainer XXX-XXX-XXXX XXX-XXX-XXXX Athletic Director XXX-XXX-XXXX XXX-XXX-XXXX
School Nurse XXX-XXX-XXXX XXX-XXX-XXXX Principal XXX-XXX-XXXX XXX-XXX-XXXX
Gifts to support The Korey Stringer Institute may be made through the UConn Foundation, Inc. a tax-exempt 501(c)(3) corporation dedicated exclusively to benefit the
University, and are deductible for federal incomes tax purposes to the extent allowable by law. All gifts will be used to benefit The Korey Stringer Institute and its mission.
NAME OF SCHOOL Contact Tree
Coach or First Responder at the Scene
Life Threatening Condition Non-‐Life Threatening Condition
Call 9-‐1-‐1
Athletic Trainer Name (XXX) XXX-‐XXXX Assistant Athletic Trainer Name (XXX) XXX-‐XXXX
Athlete's Parent or Guardian Athletic Director Name (XXX) XXX-‐XXXX
Principal Name (XXX) XXX-‐XXXX Note: This is a basic plan. Please
use professional judgment when a player is injured. Move down the chart if you are unable to reach the appropriate staff member.
Gifts to support The Korey Stringer Institute may be made through the UConn Foundation, Inc. a tax-exempt 501(c)(3) corporation dedicated exclusively to benefit the University, and are deductible for federal incomes tax purposes to the extent allowable by law. All gifts will be used to benefit The Korey Stringer Institute and its mission.
School Name Campus Map
Gifts to support The Korey Stringer Institute may be made through the UConn Foundation, Inc. a tax-exempt 501(c)(3) corporation dedicated exclusively to benefit the
University, and are deductible for federal incomes tax purposes to the extent allowable by law. All gifts will be used to benefit The Korey Stringer Institute and its mission.
School Name Campus Map
Gifts to support The Korey Stringer Institute may be made through the UConn Foundation, Inc. a tax-exempt 501(c)(3) corporation dedicated exclusively to benefit the University, and are deductible for federal incomes tax purposes to the extent allowable by law. All gifts will be used to benefit The Korey Stringer Institute and its mission.
NAME OF SCHOOL
Address XXX Street Name, City, State, Zip
Campus Athletics Venue Information
NOTE: Some settings may have multiple entrances for EMS – each of these roads should be coded (i.e. Entrance #1, Entrance #2) and labeled on the map.
Venue EMS Route: Entrance #
Primary AED Secondary AED
Main Gymnasium Road Name by Road Name
Basketball Court First Floor Across from the Weight Room
Football Stadium Road Name by Road Name
Sideline with Athletic Trainer
First Floor Across from the Weight Room
Gifts to support The Korey Stringer Institute may be made through the UConn Foundation, Inc. a tax-exempt 501(c)(3) corporation dedicated exclusively to benefit the
University, and are deductible for federal incomes tax purposes to the extent allowable by law. All gifts will be used to benefit The Korey Stringer Institute and its mission.
SAMPLE EAP SPORT: NAME OF VENUE (for PRACTICE? COMPETITION?)
Address: XXX Venue Directions: (turn by turn leading up to each relevant access gate) GPS Coordinates (in the event of the need for a medical helicopter transport): XXX
Emergency Personnel:
Emergency Communication
Emergency Equipment: Supplies relevant to that sport or event, nearest AED during different types of competition (i.e. practice vs. games, when an ATC is present vs. not present), location of given supplies, and phone numbers and access key locations to relevant storage places. Role of First Responders: 1. Immediate care of the injured or ill student-athlete 2. Activation of emergency medical services (EMS) a. Call 911 (provide name, address, telephone number (number of individuals injured), condition of injured, first aid treatment, specific directions, other information as requested) b. Activate phone tree 3. Emergency equipment retrieval 4. Direct EMS to scene (if not on site for game) a. Open appropriate gates b. Designate individual to “flag down” EMS and direct to scene c. Scene control: limit scene to first aid providers and move bystanders away from area
Athletic Training Room Fixed Telephone Line XXX-XXX-XXXX Certified Athletic Trainer Name XXX-XXX-XXXX
Athletic Director Name XXX-XXX-XXXX Team Physician Name XXX-XXX-XXXX
School Nurse Name XXX-XXX-XXXX
MAP OF VENUE
This map should include major street names, a highlighted route to specific gates, and major
buildings listed. The actual venue should be clearly demarcated.
Consider using a “Google maps” feature
or a pre-‐made campus map that is posted online for added accuracy.
Gifts to support The Korey Stringer Institute may be made through the UConn Foundation, Inc. a tax-exempt 501(c)(3) corporation dedicated exclusively to benefit the University, and are deductible for federal incomes tax purposes to the extent allowable by law. All gifts will be used to benefit The Korey Stringer Institute and its mission.
NAME OF SCHOOL
PROTOCOL FOR MEDICAL CERTIFICATION REQUIREMENTS
All athletics personnel associated with practices, competition, skills instruction, and strength and conditioning, including all head, assistant, and volunteer coaching staff, must have the following training: • Red Cross CPR/AED for the First Responder • Red Cross First Aid for the First Responder • Prevention of Disease Transmission: Blood Bourne Pathogens • Emergency Action Plan annual run-through All updated copies of certificates/cards will be on file in the athletic director’s office.
Sample Log of Safety Certifications Sport Staff Member CPR/AED Good Until First Aid Good Until Football Name XX/XX/XXXX XX/XX/XXXX Name XX/XX/XXXX XX/XX/XXXX XX/XX/XXXX XX/XX/XXXX XX/XX/XXXX XX/XX/XXXX Boys' Soccer XX/XX/XXXX XX/XX/XXXX XX/XX/XXXX XX/XX/XXXX XX/XX/XXXX XX/XX/XXXX
Gifts to support The Korey Stringer Institute may be made through the UConn Foundation, Inc. a tax-exempt 501(c)(3) corporation dedicated exclusively to benefit the
University, and are deductible for federal incomes tax purposes to the extent allowable by law. All gifts will be used to benefit The Korey Stringer Institute and its mission.
NAME OF SCHOOL
Emergency Action Plan Run Through All personnel associated with athletics should be familiar with all relevant venue emergency action plans. Familiarization includes: knowing one’s specific role during an emergency situation, knowledge of emergency equipment, and how to appropriately activate the emergency action plan. Each person who will be working with the school’s athletic programs should be given a copy of the emergency action plan annually and sign an agreement that they have read and understand the document. Additionally, each team before the start and throughout the season should run through scenarios in order to increase the comfort level and efficiency of the emergency action plan. This team should also include the local ambulance services and the fire department. Ensure that all team members are on the same page with athlete care and transport protocols (i.e. helmet removal for equipment-intensive sports such as football and lacrosse or “cool first, transport second” policies for exertional heat illnesses). Run-throughs should also be taken into consideration where ambulance access would take place to determine if any gates or cars would block the entrance during practice/game times and where any keys or relevant equipment will be located.
Gifts to support The Korey Stringer Institute may be made through the UConn Foundation, Inc. a tax-exempt 501(c)(3) corporation dedicated exclusively to benefit the University, and are deductible for federal incomes tax purposes to the extent allowable by law. All gifts will be used to benefit The Korey Stringer Institute and its mission.
Please copy form as needed Each coach or volunteer in every sport providing instruction, assistance, or supervision in an athletic activity for the student athletes at SCHOOL NAME must sign this form certifying that the coach or volunteer has completed the training on the emergency action plan. The training must be completed annually. I hereby verify by signing below that I have completed the training on the emergency action plan. ______________________ (signature) ___________________ (title or position) _____________ (date completed) ______________________ (signature) ___________________ (title or position) _____________ (date completed) ______________________ (signature) ___________________ (title or position) _____________ (date completed) ______________________ (signature) ___________________ (title or position) _____________ (date completed) ______________________ (signature) ___________________ (title or position) _____________ (date completed) ______________________ (signature) ___________________ (title or position) _____________ (date completed) ______________________ (signature) ___________________ (title or position) _____________ (date completed) ______________________ (signature) ___________________ (title or position) _____________ (date completed) ______________________ (signature) ___________________ (title or position) _____________ (date completed) ______________________ (signature) ___________________ (title or position) _____________ (date completed) ______________________ (signature) ___________________ (title or position) _____________ (date completed) ______________________ (signature) ___________________ (title or position) _____________ (date completed) ______________________ (signature) ___________________ (title or position) _____________ (date completed) ______________________ (signature) ___________________ (title or position) _____________ (date completed)
THIS FORM IS TO BE KEPT ON FILE IN THE ATHLETIC TRAINING ROOM AND PRESENTED FOR REVIEW UPON REQUEST.
SAMPLE VERIFICATION OF ACKNOWLEDGMENT OF TRAINING ON THE EMERGENCY ACTION PLAN
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